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Herpes

Professionally updated: February 24, 2024

Herpes is a very common viral infection caused by the herpes simplex virus (HSV). This infection most commonly manifests as small painful blisters on the lips, around the mouth (oral herpes) or on the genitals (genital herpes).

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Jakob Fraes
Specialist in General Medicine, PhD
Read more about Herpes. Everything you need to know.

Understanding Herpes Simplex Virus (HSV)

Herpes Simplex Virus (HSV) is a widespread virus that can lead to several different health complications. For a more in-depth understanding, let's take a closer look at the two main types of the virus.

HSV-1: Oral Herpes

HSV-1, also known as oral herpes, primarily causes infections in and around the mouth and lips. Typical signs of HSV-1 include fever blisters or cold sores. Although these outbreaks are mostly local, the virus can also cause genital herpes through oral sex. A large part of the population is infected with HSV-1, often without being aware of it, as not everyone infected shows symptoms.

HSV-2: Genital Herpes

HSV-2 is the main cause of genital herpes, which is characterized by painful blisters or sores in the genital area. Besides pain and discomfort, genital herpes can also lead to psychological stress due to its stigma in society. It is important to understand that although HSV-2 primarily affects the genital area, it can also infect the oral area through oral sex.

Infectiousness and transmission

HSV is extremely contagious and is spread through direct contact with infected areas. This includes kissing, intercourse and skin-to-skin contact in general. The virus can be transmitted even during periods without visible outbreaks, meaning people without symptoms can still transmit the infection to others. To minimize the risk of transmission, it is important to use protective methods such as condoms and avoid sex during active outbreaks of herpes.

Knowledge of the different types and transmission of HSV is essential to prevent the spread and manage the virus effectively. If you suspect you are infected with either HSV-1 or HSV-2, it is highly recommended that you consult a doctor for advice and possible diagnosis and treatment.

Symptoms of herpes

Understanding the symptoms of herpes is crucial in order to take the necessary precautions and seek appropriate treatment. Symptoms can vary widely from person to person.

Diagnostic methods

There are two main methods for diagnosing chlamydia:

Primary infection: The first signs

The primary infection with herpes can be asymptomatic or present with both general and local symptoms. General symptoms can include fever, fatigue, and muscle pain. The local signs will be small painful blisters or sores that occur in the infected area - this can be around the mouth or in the genital area.

Recurrent outbreaks: What to expect?

After the primary infection, HSV remains latent in the body and can reactivate. This leads to recurrent outbreaks, which are usually less severe than the primary infection. Symptoms of these outbreaks typically include itching or tingling, followed by the development of small blisters that eventually form ulcers. The frequency of these outbreaks varies considerably between individuals.

Asymptomatic infection: A hidden risk

A significant proportion of people infected with HSV show no symptoms, which is known as an asymptomatic infection. Even without visible signs of illness, these individuals can still transmit the virus to others. Understanding and recognizing asymptomatic infection is vital to avoid accidental transmission of herpes.

Treatment of herpes

Navigating the treatment of herpes can seem challenging, but with the right knowledge and support, you can effectively manage and control your infection. Here's a step-by-step guide:

Step 1: Diagnosis

First and foremost, it is necessary to get a correct diagnosis. This will typically involve a visual examination by a doctor and possibly a sample from a wound, blister or fluid sample. In some cases, a blood test may also be necessary.

Step 2: Medical treatment

Once the diagnosis is confirmed, medical treatment can be started. There is no cure for herpes, but antiviral drugs such as Aciclovir, Valaciclovir and Famciclovir can help to alleviate symptoms, shorten the duration of the outbreak and reduce the frequency of future outbreaks.

Step 3: Self-care and lifestyle adjustments

In addition to medical treatment, there are also several self-care strategies:

  • Pain relief: Over-the-counter painkillers, such as paracetamol or ibuprofen, can help relieve pain and fever.
  • Topical Care: Applying topical anaesthetic creams or ointments can help relieve pain and discomfort from wounds and blisters.
  • Prevention: Avoid having sex during an outbreak of genital herpes or when you feel an outbreak is coming.

Step 4: Psychological support

Living with herpes can be psychologically taxing. Consider joining support groups, talking to a psychologist or another counseling service that can offer support and guidance.

Step 5: Follow-up consultation

It's important to visit your doctor regularly to monitor your herpes infection and adjust treatment as needed. Your doctor can help you navigate the medical and psychological aspects of living with herpes.

Prevention

Preventing herpes infections and minimizing the risk of transmitting the virus to others is crucial. This area can be broadly divided into prevention of first-time infection and prevention of recurrent outbreaks and transmission.

Prevention of primary infection

Avoiding contracting herpes for the first time requires a conscious effort, especially since the virus is easily transmitted from person to person:

Protection during sex

Using condoms and dental dams during sex can greatly reduce the risk of transmitting or contracting herpes, although they do not provide 100% protection.

Avoid sharing

Don't share personal items that may have been contaminated with the virus, such as lipstick, razors, and towels.

Avoid contact during outbreaks

If a person has a visible herpes outbreak (like a cold sore), skin-to-skin contact should be avoided in the affected area.

    Preventing relapses and the spread of infection

    For those who are already infected, the focus is on preventing relapse and avoiding spreading the virus to others:

    Antiviral medicine

    Regular use of antiviral medication can help suppress the herpes virus, reduce the number of outbreaks, and decrease the risk of spreading the virus.

    Know the early signs

    Learn to recognize the early signs of an outbreak so you can take precautions to protect your partners and start your treatment early.

    Avoid sex during outbreaks

    Avoid sex while you have an active genital herpes outbreak or feel one coming on.

    Communication with partners

    Open and honest communication with your sexual partners about your status is also a key component of prevention.

      Mental health and support

      Living with herpes can bring a psychological burden. Support groups and counseling can be invaluable resources for people navigating life with herpes. Sharing experiences and advice with others who understand your situation can ease mental stress and help you maintain a positive quality of life.

      Frequently asked questions about ECG

      How do you get herpes?

      Herpes is transmitted through direct skin-to-skin contact with an infected person, even if they have no visible symptoms.

      How do I protect myself from herpes?

      Use protection during sex, avoid sharing personal items and avoid contact with active outbreaks.

      How do I know if I have herpes?

      Symptoms vary, with some experiencing pain, itching and blisters. For an accurate diagnosis, seek professional medical advice and testing.

      Is there a cure for herpes?

      There is no cure, but antiviral medications and self-care can effectively manage and control symptoms and outbreaks.